patient resources

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Here at Harelick Dental of Fairhaven, we strive to make every patient feel their health, comfort and happiness are our main concerns. Our Team takes the time to get to know our patients so that we not only know their mouths, but what drives them to succeed in achieving their goals. Then we provide each patient with the tools and education needed to make the right decision for them and their family. That's our Platinum Rule: do unto other's as THEY want done for themselves!

patient forms

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Prior to your first visit please download, print and fill out the below forms if you wish to expedite the process. Thanks!

Medical History Form

Download and fill out your Medical history prior to first visit.

Dental History Form 

Download and fill out your dental history prior to first visit.

New Patient Form

Download and complete our New Patient Form prior to first visit.

insurance options

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We want to offer the greatest convenience to our patients, that’s why we offer many ways for you to plan for your treatment. We accept Master Card, Visa, Discover, American Express, as well as personal checks and most insurance plans.

We also offer the following health insurance plans for patients who want financing for their dental treatment.

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payments & financing

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At Harelick Dental Associates, our goal is to help you achieve the smile that you are looking for, through exceptional care and service. We understand that you may have some questions or concerns regarding your insurance and out-of-pocket portion of your treatment, and we are here to help assist you in that regard as well.

Your estimated copayment is due at the time of service. For your convenience we accept cash, check and all major credit cards as well as flexible spending account credit cards.

In addition, we work with the following companies to offer no-interest and low-interest financing options for those who would prefer to extend their payments: